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Designed for practicing colonoscope handling and techniques.
It presents a wide range of challenges to trainees performing a colonoscopy, from simple and uncomplicated cases to difficult and sensitive variations. Providing the necessary training required to avoid patient pain and discomfort during an examination.
Anatomy
Primary Level Cases:
Case 1: Introductory Level 1 - simple layout appropriate for first-time trainees
Case 2: Introductory Level 2 - as 1 with longer sigmoid colon. An essential training step before moving on to actual patients
Case 3: Straighten out the "Alpha" loop - still a simple layout, with a naturally formed "Alpha" loop in a longer sigmoid colon. With insertion, the colonscope naturally forms an "Alpha" loop, and advances towards the splenic flexure
Secondary Level Cases:
Case 4: Redundant sigmoid colon, "N" loop formation and long transverse colon - a challenging layout, with difficult-to-shorten sigmoid colon and drooping transverse colon
Case 5: Redundant sigmoid colon and "Alpha" loop formation - an "Alpha" loop is formed by the redundant sigmoid colon, therefore passing through the sigmoid colon by shortening method is extremely challenging
Advanced Level
Case 6: "Reverse Alpha" loop formation - because of the significantly redundant sigmoid colon, a "reverse alpha" loop is formed by insertion of the colonscope
SCORE Surgery Curriculum 2017-18: Operation/Procedure: Colonoscopy; Proctoscopy and Sigmoidoscopy;
GMC General Surgery curriculum (p.117): Sigmoidoscopy-rigid; Sigmoidoscopy-flexible; Colonoscopy-diagnostic; Colonoscopy-therapeutic - insertion of PEC button
